Vendor Application Form
Thank you for taking the time to complete this form. We at RC Hill Mitsubishi, want to speak a with every vendor that is offering a service or product that helps or benefits RC Hill Mitsubishi and our Customers. In order for us to professionally manage our vendor relationships, we have established this form for us to better serve our vendors with respect and in a timely manner.
Please complete this simple from and explain what the services or product offered.
Thanks from the Management Team of RC Hill Mitsubishi, DeLand, Florida.
Company Name:
____________________________________________________________________
Address: ___________________________________________________________
City/State/Zip: _____________________________________________________
Phone: ______________________________ Fax:__________________________
Contact Name: _____________________________________________________
Contact Title: ______________________________________________________
Contact E-mail: ____________________________________________________
Contact Phone _____________________________________________________
Marketing E-mail ___________________________________________________
----------------------- COMPANY INFORMATION -----------------------
Organization Type: Sole Owner ___ Corporation ___ S-Corp. ___
State of Incorporation? ______________________ Nonprofit? ___Yes ___No
Other Socioeconomic Factor(s)?
___________________________________________
Domestic/Foreign Owned?
_______________________________________________
Is your company owned by a parent company? ___Yes ___No
Parent Company Name:
___________________________________________________________________
Parent Company Address:
___________________________________________________________________
Are you: Small Business? ___ Minority-Owned Business? ___ Veteran-Owned
Business? ___ Women-Owned Business? ___ Veteran Disabled-Owned Business? ___
Other Socioeconomic Factor(s)?
____________________________________________________________________
Does your company accept credit cards? ___Yes ___No
Explain what the services or product you offer:_________________________
_____________________________________________________________________
In What Way Can You Help Our Dealership:______________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________